Incomplete glandular ablation after salvage cryotherapy for recurrent prostate cancer after radiotherapy
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| Title: | Incomplete glandular ablation after salvage cryotherapy for recurrent prostate cancer after radiotherapy |
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| Authors: | Izawa, Jonathan I.1, Morganstern, Nora2, Chan, Deva M.1, Levy, Lawrence B.3, Scott, Shellie M.1, Pisters, Louis L.1 lpisters@mail.mdanderson.org |
| Source: | International Journal of Radiation Oncology, Biology, Physics. Jun2003, Vol. 56 Issue 2, p468-472. 5p. |
| Subjects: | Cold therapy, Prostate cancer, Biopsy, Evaluation research, Cancer relapse, Prostate-specific antigen, Research funding, Salvage therapy, Prostate tumors, Cryosurgery, Prostate, Analysis of variance, Research methodology, Research, Prognosis, Comparative studies, Regression analysis, Impact of Event Scale |
| Abstract: | : PurposeTo determine the clinical variables associated with inadequate salvage cryotherapy and to correlate the disease-free survival rates associated with biopsy results in prostate cancer (CaP).: Methods and materialsBetween July 1992 and January 1995, 150 patients underwent salvage cryotherapy for locally recurrent CaP. Biopsy specimens were examined for the presence of cancer cells and normal or atypical glands, all of which were considered evidence of inadequate cryotherapy. Clinical variables, as predictors of biopsy results, were evaluated with univariate and multivariate analyses. The impact of the biopsy results on disease-free survival was also determined.: ResultsThe number of cryoprobes and freeze-thaw cycles correlated with inadequate cryotherapy (p = 0.037 and p = 0.0022, respectively). The number of freeze-thaw cycles was an independent predictor of inadequate cryotherapy (p = 0.003). The finding of cancer cells in the biopsy specimens was the only histopathologic variable that affected disease-free survival (p = 0.016).: ConclusionComplete ablation of the prostate gland and tumor is difficult to achieve with salvage cryotherapy. To optimize for complete ablation, salvage cryotherapy should include at least two freeze-thaw cycles and a minimum of five cryoprobes. The finding of atypical or normal epithelial tissue in biopsy specimens after salvage cryotherapy is not predictive of biochemical failure. [Copyright &y& Elsevier] |
| Copyright of International Journal of Radiation Oncology, Biology, Physics is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
| FullText | Text: Availability: 0 |
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| Header | DbId: egs DbLabel: Engineering Source An: 9657599 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Incomplete glandular ablation after salvage cryotherapy for recurrent prostate cancer after radiotherapy – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Izawa%2C+Jonathan+I%2E%22">Izawa, Jonathan I.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Morganstern%2C+Nora%22">Morganstern, Nora</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Chan%2C+Deva+M%2E%22">Chan, Deva M.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Levy%2C+Lawrence+B%2E%22">Levy, Lawrence B.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Scott%2C+Shellie+M%2E%22">Scott, Shellie M.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Pisters%2C+Louis+L%2E%22">Pisters, Louis L.</searchLink><relatesTo>1</relatesTo><i> lpisters@mail.mdanderson.org</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Radiation+Oncology%2C+Biology%2C+Physics%22">International Journal of Radiation Oncology, Biology, Physics</searchLink>. Jun2003, Vol. 56 Issue 2, p468-472. 5p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cold+therapy%22">Cold therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Prostate+cancer%22">Prostate cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Biopsy%22">Biopsy</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+relapse%22">Cancer relapse</searchLink><br /><searchLink fieldCode="DE" term="%22Prostate-specific+antigen%22">Prostate-specific antigen</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Salvage+therapy%22">Salvage therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Prostate+tumors%22">Prostate tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Cryosurgery%22">Cryosurgery</searchLink><br /><searchLink fieldCode="DE" term="%22Prostate%22">Prostate</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Prognosis%22">Prognosis</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Impact+of+Event+Scale%22">Impact of Event Scale</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: : PurposeTo determine the clinical variables associated with inadequate salvage cryotherapy and to correlate the disease-free survival rates associated with biopsy results in prostate cancer (CaP).: Methods and materialsBetween July 1992 and January 1995, 150 patients underwent salvage cryotherapy for locally recurrent CaP. Biopsy specimens were examined for the presence of cancer cells and normal or atypical glands, all of which were considered evidence of inadequate cryotherapy. Clinical variables, as predictors of biopsy results, were evaluated with univariate and multivariate analyses. The impact of the biopsy results on disease-free survival was also determined.: ResultsThe number of cryoprobes and freeze-thaw cycles correlated with inadequate cryotherapy (p = 0.037 and p = 0.0022, respectively). The number of freeze-thaw cycles was an independent predictor of inadequate cryotherapy (p = 0.003). The finding of cancer cells in the biopsy specimens was the only histopathologic variable that affected disease-free survival (p = 0.016).: ConclusionComplete ablation of the prostate gland and tumor is difficult to achieve with salvage cryotherapy. To optimize for complete ablation, salvage cryotherapy should include at least two freeze-thaw cycles and a minimum of five cryoprobes. The finding of atypical or normal epithelial tissue in biopsy specimens after salvage cryotherapy is not predictive of biochemical failure. [Copyright &y& Elsevier] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Radiation Oncology, Biology, Physics is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/S0360-3016(02)04574-1 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 468 Subjects: – SubjectFull: Cold therapy Type: general – SubjectFull: Prostate cancer Type: general – SubjectFull: Biopsy Type: general – SubjectFull: Evaluation research Type: general – SubjectFull: Cancer relapse Type: general – SubjectFull: Prostate-specific antigen Type: general – SubjectFull: Research funding Type: general – SubjectFull: Salvage therapy Type: general – SubjectFull: Prostate tumors Type: general – SubjectFull: Cryosurgery Type: general – SubjectFull: Prostate Type: general – SubjectFull: Analysis of variance Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Research Type: general – SubjectFull: Prognosis Type: general – SubjectFull: Comparative studies Type: general – SubjectFull: Regression analysis Type: general – SubjectFull: Impact of Event Scale Type: general Titles: – TitleFull: Incomplete glandular ablation after salvage cryotherapy for recurrent prostate cancer after radiotherapy Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Izawa, Jonathan I. – PersonEntity: Name: NameFull: Morganstern, Nora – PersonEntity: Name: NameFull: Chan, Deva M. – PersonEntity: Name: NameFull: Levy, Lawrence B. – PersonEntity: Name: NameFull: Scott, Shellie M. – PersonEntity: Name: NameFull: Pisters, Louis L. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2003 Type: published Y: 2003 Identifiers: – Type: issn-print Value: 03603016 Numbering: – Type: volume Value: 56 – Type: issue Value: 2 Titles: – TitleFull: International Journal of Radiation Oncology, Biology, Physics Type: main |
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